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PROCHLORPERAZINE (Compro)

Side Effects

Orthostatic hypotension                               Constipation

Blurred vision                                                        Drowsiness

Dry eyes, dry mouth                                    Photosensitivity

Nursing Considerations

◾ Management of nausea, vomiting, psychotic disorders

◾ Monitor for development of neuroleptic malignant syndrome (fever, respiratory distress, tachycardia, convulsions, sweating, hypertension or hypotension, pallor, tiredness, severe muscle stiffness, loss of bladder control); notify clinician immediately

◾ PO: take with food

◾ Do not crush or break sustained-release capsules

◾ IM: inject slowly, deeply into gluteal UOQ; keep patient lying down for

30 minutes

◾ Use caution with potentially hazardous activities

◾ Avoid changing positions (lying/sitting/standing) rapidly

◾ Wear sunscreen and protective clothing to prevent photosensitivity reactions

◾ Check CBC and liver functions with prolonged use

◾ Risk of increase mortality in elderly patients with dementia; related psychosis

◾ May develop tardive dyskinesia

◾ Rx; Preg Cat C

MECLIZINE (Antivert, Bonine)

Side Effects

Drowsiness

Dizziness

Nursing Considerations

◾ Management of vertigo, motion sickness

◾ Duration 8–14 hours

◾ Take 1 hour before traveling

◾ Avoid activities requiring alertness

◾ Avoid alcohol, CNS depressants

◾ OTC, Rx; Preg Cat B

LOPERAMIDE HCL (Imodium)

Side Effects

Nausea, vomiting                               Drowsiness

Abdominal pain/distention                           Dry mouth

Dizziness

Nursing Considerations

◾ Used for control of diarrhea, including diarrhea in travelers

◾ Take with a full glass of water

◾ Encourage 6–8 glasses of fluid per day

◾ Use caution with potentially hazardous activities

◾ If abdominal distention in acute ulcerative colitis, stop med

◾ Avoid use with alcohol, CNS depressants

◾ Follow clear liquid or bland diet until diarrhea subsides

◾ Do not use OTC if fever over 101°F (38°C) or if bloody diarrhea

◾ OTC, Rx; Preg Cat C

HYOSCYAMINE (Anaspaz, Gastrosed)

Side Effects

Confusion, stimulation                       Blurred vision

In elderly                                  Tachycardia

Dry mouth, constipation                     Rash

Urinary retention, hesitancy               Headache

Palpitations                               Drowsiness

Nursing Considerations

◾ Treatment of peptic ulcer, other GI disorders, other spastic disorders, urinary incontinence

◾ PO: onset 20–30 minutes, duration 4–6 hours

◾ IM, IV, subQ: onset 2–3 minutes, duration 4–6 hours

◾ Avoid activities requiring alertness until stabilized on med

◾ Avoid alcohol, CNS depressants

◾ Use sunglasses to prevent photophobia

◾ Take 30–60 minutes before meals

◾ Avoid antacids within 1 hour

◾ Rx; Preg Cat C

INSULIN-ISOPHANE SUSPENSION (NPH) (Humulin N, Novolin N)

INSULIN-ISOPHANE

SUSPENSION (NPH)

(Humulin N, Novolin N)

Side Effects

Hypoglycemia                           Alergic reactions

Lipodystrophy

Nursing Considerations

◾ Management of diabetes

◾ Comes in 100 units per milliliter vial, as well as in combination

with regular insulin in a 50/50 proportion and 75/25 proportion

◾ subQ: onset 1–1.5 hours, peak 4–12 hours, duration 18–24 hours

◾ Read administration instructions carefully

◾ Do not give IV

◾ Monitor blood sugar

◾ OTC, Rx; Preg Cat B

INSULIN GLARGINE (Lantus)

Side Effects

Hypoglycemia                                     Pruritus

Lipodystrophy                                    Rash

Allergic reactions

Nursing Considerations

◾ Management of diabetes in type 1 diabetics or adults with type 2

requiring a long-acting insulin to control hyperglycemia

◾ No pronounced peak, duration 24 hours

◾ Must inject at same time each day

◾ Not the drug of choice for diabetic ketoacidosis (use a

short-acting insulin)

◾ Higher incidence of injection site pain compared with NPH

insulin

◾ Monitor blood sugar

◾ Do not administer IV or via insulin pump

◾ Do not mix with any other insulin

◾ Rx; Preg Cat C

Gimel Review for NMC CBT Test

Get a copy of this book from www.amazon.com.

GIMEL Comprehensive Self Study Program!

This study is designed to give you Core Contents in a simple easy to understand structure. It will help you identified your strengths and deal with areas of weakness. You will then begin to comprehend many of the major areas of Core contents that are essential to Pass NMC PART 1, CBT TEST.

Whether this is your first attempt or that you have attempted this test several times. I want to encourage you to stay focused on your goals. Cast away feelings of inadequacy and doubt which does not support this effort now. Stay focused and you shall achieve success and your dreams.

GIMEL Study guide is a review for International nurses preparing for registration as nurses in the UK.

NMC Test of Competence - Part 1 Test Revision

The NMC Test of Competence Part 1 exam is a computer-based test (CBT) questions consisting of 120 Multiple Choice Questions. It is intended for applicants trained outside the EU (European Union) and European Economic Area seeking employment as a nurse in the UK.

This Part 1 test preparatory review contents covers randomly on all four of the domains and questions specific to adult nursing. These topics are: Professional values, Communication and interpersonal skills, Nursing practice and decision making Leadership management and team working as outlined and stated by NMC.

 Thereafter, practice with about 70 questions to test your knowledge with correct answers.

Success is guaranteed if you devote your short time to go through the reviewed contents and the questions.

This is the opportunity you have been waiting for. Go through the contents. You can be sure of passing your CBT test at First sitting.

                   WHAT ARE THE BLOOD TYPES REALLY FOR?

When Landsteiner mixed the blood from different people together, he discovered it followed certain rules. If he mixed the plasma from group A with red blood cells from someone else in group A, the plasma and cells remained a liquid. The same rule applied to the plasma and red blood cells from group B. But if Landsteiner mixed plasma from group A with red blood cells from B, the cells clumped (and vice versa).

The blood from people in group O was different. When Landsteiner mixed either A or B red blood cells with O plasma, the cells clumped. But he could add A or B plasma to O red blood cells without any clumping.

The blood type groups as we know them today.

It’s this clumping that makes blood transfusions so potentially dangerous. If a doctor accidentally injected type B blood into my arm, my body would become loaded with tiny clots. They would disrupt my circulation and cause me to start bleeding massively, struggle for breath and potentially die. But if I received either type A or type O blood, I would be fine.

Landsteiner didn’t know what precisely distinguished one blood type from another. Later generations of scientists discovered that the red blood cells in each type are decorated with different molecules on their surface. In my type A blood, for example, the cells build these molecules in two stages, like two floors of a house. The first floor is called an H antigen. On top of the first floor the cells build a second, called the A antigen.

People with type B blood, on the other hand, build the second floor of the house in a different shape. And people with type O build a single-storey ranch house: they only build the H antigen and go no further.

Each person’s immune system becomes familiar with his or her own blood type. If people receive a transfusion of the wrong type of blood, however, their immune system responds with a furious attack, as if the blood were an invader. The exception to this rule is type O blood. It only has H antigens, which are present in the other blood types too. To a person with type A or type B, it seems familiar. That familiarity makes people with type O blood universal donors, and their blood especially valuable to blood centers.

Landsteiner reported his experiment in a short, terse paper in 1900. “It might be mentioned that the reported observations may assist in the explanation of various consequences of therapeutic blood transfusions,” he concluded with exquisite understatement. Landsteiner’s discovery opened the way to safe, large-scale blood transfusions, and even today blood banks use his basic method of clumping blood cells as a quick, reliable test for blood types.

But as Landsteiner answered an old question, he raised new ones. What, if anything, were blood types for? Why should red blood cells bother with building their molecular houses? And why do people have different houses?

Solid scientific answers to these questions have been hard to come by. And in the meantime, some unscientific explanations have gained huge popularity. “It’s just been ridiculous,” sighs Connie Westhoff, the Director of Immunohematology, Genomics, and Rare Blood at the New York Blood Center. Get the details from www.bewellbuzz.com/what are blood types for/

Doctors Say This Spice is a Brain Health Miracle Discover the Simple Natural Solution to Lifelong Cognitive Health

Dear Health Conscious Reader, Are you concerned about maintaining the health of your brain as you age? You're not alone. Losing one's memory and mental abilities to cognitive decline is something we all fear, and the current statistics on the prevalence of cognitive decline in this country are not pretty. By age 65, sadly 1 in 8 Americans will suffer from severe cognitive decline, and by age 80, an astonishing 1 in 2 will.[1]  Researchers have been working for years to develop an effective treatment. But one "miracle" drug after another has failed to live up to its promises, and it's becoming more and more apparent that pharmaceuticals are not the solution. Unfortunately, the medical establishment is so narrowly focused on finding an elusive "cure" that scientifically proven prevention strategies are often ignored. I'm Joshua Corn, Editor-in-Chief of Live in the Now, one of the fastest growing natural health publications in the nation. My passion for natural health drives me to seek the truth about the causes of health problems and to educate people on alternative solutions that are both safe and effective. Please keep reading, because I'll tell you about an amazingly effective way to protect your brain from the ravages of cognitive decline and boost your thinking and memory abilities quickly, naturally and safely.  Nature's Brain-Protecting Miracle There are a number of natural brain protectors out there, but did you know that one herb has shown more promise when it comes to supporting your neurological system than any other medical finding to date? It's a scientific fact that curcumin, an antioxidant compound found in the root of the turmeric plant, is one of the most powerful natural brain protecting substances on the planet! It continues to amaze scientists with its remarkable cognitive health benefits. You may be familiar with turmeric as the bright yellow spice that is commonly found in curry powder. Turmeric has a long history as a healing herb and culinary spice in India. Interestingly, India has the highest per capita consumption of turmeric AND the lowest incidence of cognitive decline worldwide![2]  Your Brain on Curcumin The hallmark process associated with certain types of cognitive decline is the formation in the brain of abnormal protein structures. Normally when malformed proteins are formed within the brain, the immune system sends out cells known as macrophages, which engulf and destroy the proteins. If this ordinary function fails, defective proteins accumulate in the brain and cognitive decline can follow. That's why I was excited to read that recent research is showing that curcumin encourages the immune system to send macrophages to the brain. A landmark clinical trial involving people with severe cognitive decline that measured the effects of curcumin. Amazingly, the participants taking curcumin had significantly higher levels of dissolved abnormal proteins in their blood compared to those in the placebo group. This study showed that curcumin has the ability to effectively pass into the brain, bind to beta-amyloid plaques and assist the body in their breakdown.[3] Curcumin is one of the only substances known to have such a profound protective effect on the brain.  The Incredible Health Benefits of Curcumin Protects brain cells from aging Increases memory retention and clarity Boosts overall cognitive function Supports joint and muscle health Promotes healthy cardiovascular function Supports a healthy inflammatory response Supports healthy mood balance Promotes a healthy digestive system Boosts de

            WHY CELLGEVITY

Our bodies are continually subjected to extreme demands from work, stress and every day life, not to mention the harmful toxins, pollution, and free radicals that are constantly attacking our cells. All of these combined put a heavy toil on our glutathione demand. In the end, if there is not enough glutathione in our bodies, our cells, tissues and organs pay the price.

GLUTATHIONE LEVELS DECLINE AS YOU GROW OLDER. YOUR BODY CAN PAY A TERRIBLE PRICE!
HOW?
* Weaker Immune system
* Accelerated aging
*Low libido and impaired sexual health
*Increased fatique
* Infections
* High blood pressure and Cholestrol
* Build up of poisons toxins and heavy metals in he liver.
* Senility, loss of Memory, Focus and concentration
* Increased Vulnerability to more than 70 major Diseases.

WHAT DO YOU DO?
Live, Look, Feel to the Max with Advanced Riboceine Technology called CELIGEVITY.

Glutathione is found and manufactured in every one of our trilions of cells. The highest concentration of glutathione is found in our major organs such as the liver, eye lens, brain and lungs. Because of its multifunctional role in supporting other antioxidants, glutathione has been called the " Master Antioxidant.

Our bodies are continually subjected to extreme demands from work, stress and every day life, not to mention the harmful toxins, pollution, and free radicals that are constantly attacking our cells. All of these combined put a heavy toil on our glutathione demand. In the end, if there is not enough glutathione in our bodies, our cells, tissues and organs pay the price.

Without glutathione every cell in your body die prematurely, and that is when so much pains and malfunctions of certain part of the body begins to have one dysfunction, diseases or Ailments result.

DO YOU EXPERIENCE STIFFNESS, JOINT AND MUSCLE PAIN AND OTHER AGE RELATED CONDITIONS, LIKE LOW LIBIDO?

YOUR ANSWER COULD BE FOUND WITH ONE SUPPLEMENT THAT EMPOWERS YOUR BODY TO HEAL ITSELF.
You can find HOW TO GET A PACK OF CELLGEVITY HERE.: healthyritemed@gmail.com.
send a mail to make a request.

                         
                                   THE SKINCARE REGIMEN WHILE GETTING OLDER.

Skin loses its elasticity as the production of collagen and elastin decreases. Additionally, hyaluronic acid isn’t produced at the same rate as in earlier stages of life, creating an imbalance between the production of hyaluronic acid and its breakdown by enzymes. Because of these changes, skin becomes progressively thinner, more fragile, less elastic, and drier. Even the natural oil-producing sebaceous glands gradually lose their ability to moisturize the skin. All of these physiologic changes contribute to the development of drier skin as people age, says Charles E. Crutchfield, III, MD, a clinical professor of dermatology at the University of Minnesota Medical School and medical director of Crutchfield Dermatology.


                                  CAUSES

Even as early as the age of 40, the skin becomes more susceptible to drying. Lipids primarily act by preventing evaporation of the natural moisture in the skin, providing a barrier to water loss. Without adequate lipids, people simply lose too much water from the skin and it dries out,  

“A common symptom of dry skin is itching, and severe itching can lead to an itch-scratch-rash-itch cycle. The skin may become thickened in these areas from rubbing, and repeated skin rubbing in the same area may lead to chronic skin conditions called lichen simplex chronicus and prurigo nodularis,” says Rita Pichardo-Geisinger, MD, an assistant professor of dermatology at Wake Forest University in Winston-Salem, North Carolina.

TREATMENT

I recommend :

*A fragrance-free regimen.
*Feed your skin from inside by eating right.
*Dehydrate always by drinking water regularly.
*Consume Alkaline Foods, Fruits and drinks.
* Use moisturizers that has Collagen, Elastin, Hyaluronic acid, Vitamin E.
* SPF, Suncreen lotions or spray. Choose one that will not irritate your skin.

Of course, you can hardly get a moisturizers that contain all that.
Then soak or mix that with a good Serum oil or cream.
* Avoid harsh tablet soap, preferably unscented soap or iquid soap with some of the ingredients listed above.

For further explanation, please send a comment or send a mail to: healthyritemed@gmail.com